
I use Advocate every month for my boy - a necessary evil as my last boy died from lungworm infection. He has no visible side effects from it apart from smelling slightly of the product, for a few days.My girl developed a reaction to Advocate - a breathing problem that got worse over 3 months, each time we used it, so now has Panacur every month. Her breath, urine and coat would smell of it for days. Advocate is the only one licensed to
prevent lungworm, Panacur and Milbemax are used to
treat lungworm. My girl is effectively being
treated, partially, for lungworm every month, thereby lessening her worm load. I would hope that in a few years, I will be able to go back to a more normal worming routine, but I don't know if I can take the risk! My dogs are both 2 years old. You have to remember that there are 4 different types of lungworm, no one drug treats them all although studies show that certain drugs - panacur and possibly milbemax - do indeed treat more types than the data sheets show.
Puppies and young dogs do seem to be at most risk - in affected areas ( and these areas are increasing) - as they are the ones who mouth, chew, lick, eat and pick up everything! Dogs who show symptoms of lungworm infection - coughing, breathlessness, exercise fatigue and problems with their blood clotting, are more likely to survive an infection than ones who show no sign until the worm burden is so large as to be fatal.
You may find this article interesting :-)
http://galody.com/2011/11/21/lungworm-milbemax-without-prescription-panacur-advocat/